Colon cancer stands as one of the leading causes of cancer death in the United States, making early detection through screening not just beneficial but potentially lifesaving. Despite its critical importance, many remain unaware of when to begin screening or what methods are available. By the end of this guide, you will understand the crucial aspects of colon cancer screening in OKC and feel empowered to take proactive steps toward safeguarding your health.

Screening Evolution and Goals

Colon cancer screening in OKC has seen significant advancements over the years, with scientists and medical professionals working tirelessly to enhance detection methods. These screenings aim to identify cancer at its nascent stage, even before symptoms manifest, thus drastically improving treatment outcomes. By understanding who should undergo screening and the support insurance offers, you can confidently discern your path toward early detection.

Colon Cancer Screening Recommendations

Respected bodies such as the American Cancer Society, the American Academy of Family Physicians, the American College of Physicians, and the US Multi-Society Task Force align on screening advisories. They recommend that adults at average risk, aged between 50 and 75, undergo routine screening. The variety in screening frequencies and preferred tests underscores the personalized approach to prevention.

Eligibility for Screening

The guidelines suggest starting routine screenings at 45 for those at average risk, employing stool-based tests or visual exams. The directive extends to individuals up to 75 years, with considerations extending to those aged 76 to 85 based on health status, individual preferences, and previous screening history, illustrating a tailored approach to each one's needs. Individuals who are above 85 can skip the test.

Understanding Average Risk

Being at average risk means you have no significant family or personal history of colon cancer, certain polyps, hereditary syndromes such as Lynch syndrome, inflammatory bowel diseases or IBS like Crohn's disease, or previous radiation treatments in the pelvic or abdominal area. Recognizing your risk level is a critical first step in determining your screening schedule.

High-Risk Factors

People at high risk for colon cancer may need to start screening before age 45, undergo specialized tests, or have screenings more frequently. Those with a more pronounced history of colon cancer, specific polyps, inflammatory bowel diseases, or genetic syndromes like FAP or Lynch or who have undergone radiation treatment may need earlier and more frequent screenings. This high-risk group requires a vigilant and aggressive screening strategy.

Screening Methods

Colon cancer screening encompasses various techniques, each with advantages and considerations. Colorectal cancer usually shows no symptoms until it has progressed to an advanced stage.

Colonoscopy

A colonoscopy is the most prevalent method for detecting colon cancer. During this procedure, while you are under sedation, your doctor uses a colonoscopy—a flexible, lighted tube—to thoroughly examine your colon and rectum for any signs of cancer or polyps. If any polyps are found, they can be removed during the procedure and sent to a laboratory for analysis (biopsy). This confirms the presence of cancerous cells and aids in preventing the progression of colon cancer by removing pre-cancerous polyps.

Sigmoidoscopy

Sigmoidoscopy is another technique used to screen for colon cancer, focusing primarily on the lower part of the colon and rectum. During this procedure, a similar flexible, lighted tube is inserted, but it does not reach the upper segments of the colon—specifically, the transverse and ascending colon. Your doctor will look for and remove any polyps or other abnormalities found, later examined in a lab. If abnormalities are detected that suggest cancer might be present, or if there is a suspicion of cancer, your doctor is likely to recommend a complete colonoscopy to inspect the entire colon thoroughly.

CT Colonography

CT colonography, often called virtual colonoscopy, is an investigative screening method that some medical facilities are exploring. This technique involves detailed images that must be accurately interpreted by a radiologist trained extensively in medical imaging analysis. This screening option is particularly beneficial for individuals who are unable to undergo a traditional colonoscopy due to obstacles such as a blocked colon that impedes a thorough examination or risks associated with anesthesia.

DNA Stool Tests

DNA stool tests are a non-invasive screening tool that examines the DNA in your stool sample to detect signs of cancer. These tests identify genetic alterations typically seen in cancer cells and polyps, helping determine whether a more comprehensive examination like a colonoscopy is warranted. This method allows for early detection of potential cancerous conditions without invasive procedures.

Fecal Occult Blood Test

The fecal occult blood test detects hidden blood in the stool, which might indicate the presence of cancer or polyps. This test comes in two varieties: Immunochemical (FIT) and Guaiac (FOBT)

Since cancers and polyps do not always bleed constantly, the FOBT requires multiple stool samples to be taken annually to ensure reliable detection.

Specialized Testing

Beyond the standard tests, specific situations might call for a double-contrast barium enema or further annual tests for hidden blood in the stool. These alternatives offer solutions for those who cannot undergo standard procedures, ensuring no one is left without options for screening.

Specialist Care

Gastroenterologists are the cornerstone of colon cancer screening, offering specialized knowledge in diagnosing and managing gastrointestinal diseases. Their expertise in conducting screenings means you're in capable hands throughout the detection and diagnosis process.

Coverage for Colon Cancer Screening

The American Cancer Society advocates for universal access to cancer screenings, emphasizing that colon cancer screening should be available to everyone, irrespective of their insurance status.

Under the Affordable Care Act (ACA), both Medicare and private insurance are required to cover colorectal cancer screenings as these are recommended by the US Preventive Services Task Force (USPSTF). This mandate ensures no direct costs to the insured, such as deductibles or copayments, for these screenings.

However, it's important to note that the ACA does not apply to health insurance plans established before its enactment in 2010. These are often referred to as "grandfathered plans." Individuals with such plans should check with their insurance provider or employer's human resources department to understand their coverage specifics.

Additionally, Medicaid coverage for colon cancer screening can differ from state to state, so it's wise to verify the details beforehand.

If you have any questions regarding colon cancer screening schedules or believe you might need to be screened, it is advisable to consult with your healthcare provider.

Take Charge of Your Health with Colon Cancer Screening

At Digestive Disease Specialists, Inc., we believe that colon cancer screening in OKC is much more than a routine medical check-up; it's a crucial step in taking control of your health. With ongoing advancements in screening technology and the expert guidance of our specialized doctors, we provide a clear path toward early detection and prevention. We're here to help you understand the screening guidelines, assess your risk level, and choose the most effective screening method for your needs. Remember, the power to protect your health lies in your hands, beginning with getting screened.

**Disclaimer: This blog content does not offer a doctor's advice and creates no relationship between any patient and care provider.